Individual provider Active NPI

Marina Olshansky, D.C.

  • Chiropractor
  • Chatsworth, CA
National Provider Identifier
1285628685
Registry record updated Jun 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0293180 Issued in CA
Practice address
9700 De Soto Ave
Chatsworth, CA 91311-4409
Phone
(415) 577-8460
NPI assigned
Aug 31, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0293180 CA Primary

Addresses

Primary practice location

9700 De Soto Ave
Chatsworth, CA 91311-4409

Mailing address

22358 Cypress PL
Santa Clarita, CA 91390-4089
Phone (415) 577-8460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29318CAMDClinical Psychologist
DC0293180CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vadim I Kvitash,MD,Inc. PastSince Mar 11, 2009 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498608000000",
    "number": "1285628685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22358 CYPRESS PL",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913904089",
            "telephone_number": "415-577-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 DE SOTO AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913114409",
            "telephone_number": "415-577-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSHANSKY",
        "first_name": "MARINA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2017-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0293180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.